Patients with Mild COVID-19 Symptoms and Coincident Pulmonary Embolism: A Case Series

Introduction: Frequent thrombotic complications have been reported in patients with severe coronavirus disease 2019 (COVID-19) infection. The risk in patients with mild disease is unknown. Case Report: We report a case series of three individuals recently diagnosed with COVID-19, who presented to th...

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Main Authors: Joshua W. Joseph, Jonathan C. Roberts, Cheri N. Weaver, Jonathan S. Anderson, Matthew L. Wong
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2020-08-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/62j4010j
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author Joshua W. Joseph
Jonathan C. Roberts
Cheri N. Weaver
Jonathan S. Anderson
Matthew L. Wong
author_facet Joshua W. Joseph
Jonathan C. Roberts
Cheri N. Weaver
Jonathan S. Anderson
Matthew L. Wong
author_sort Joshua W. Joseph
collection DOAJ
description Introduction: Frequent thrombotic complications have been reported in patients with severe coronavirus disease 2019 (COVID-19) infection. The risk in patients with mild disease is unknown. Case Report: We report a case series of three individuals recently diagnosed with COVID-19, who presented to the emergency department with chest pain and were found to have pulmonary emboli. The patients had mild symptoms, no vital sign abnormalities, and were negative according to the pulmonary embolism rule-out criteria. Conclusion: This suggests that patients with active or suspected COVID-19 should be considered at elevated risk for pulmonary embolism when presenting with chest pain, even without common risk factors for pulmonary embolism.
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spelling doaj.art-e0c8e27a73484688a7268495254143ef2022-12-21T19:26:17ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2020-08-014310.5811/cpcem.2020.7.48254cpcem-04-295Patients with Mild COVID-19 Symptoms and Coincident Pulmonary Embolism: A Case SeriesJoshua W. Joseph0Jonathan C. Roberts1Cheri N. Weaver2Jonathan S. Anderson3Matthew L. Wong4Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, MassachusettsBeth Israel Lahey - Milton Hospital, Department of Emergency Medicine, Milton, MassachusettsBeth Israel Lahey - Milton Hospital, Department of Emergency Medicine, Milton, MassachusettsBeth Israel Lahey - Milton Hospital, Department of Emergency Medicine, Milton, MassachusettsBeth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, MassachusettsIntroduction: Frequent thrombotic complications have been reported in patients with severe coronavirus disease 2019 (COVID-19) infection. The risk in patients with mild disease is unknown. Case Report: We report a case series of three individuals recently diagnosed with COVID-19, who presented to the emergency department with chest pain and were found to have pulmonary emboli. The patients had mild symptoms, no vital sign abnormalities, and were negative according to the pulmonary embolism rule-out criteria. Conclusion: This suggests that patients with active or suspected COVID-19 should be considered at elevated risk for pulmonary embolism when presenting with chest pain, even without common risk factors for pulmonary embolism.https://escholarship.org/uc/item/62j4010j
spellingShingle Joshua W. Joseph
Jonathan C. Roberts
Cheri N. Weaver
Jonathan S. Anderson
Matthew L. Wong
Patients with Mild COVID-19 Symptoms and Coincident Pulmonary Embolism: A Case Series
Clinical Practice and Cases in Emergency Medicine
title Patients with Mild COVID-19 Symptoms and Coincident Pulmonary Embolism: A Case Series
title_full Patients with Mild COVID-19 Symptoms and Coincident Pulmonary Embolism: A Case Series
title_fullStr Patients with Mild COVID-19 Symptoms and Coincident Pulmonary Embolism: A Case Series
title_full_unstemmed Patients with Mild COVID-19 Symptoms and Coincident Pulmonary Embolism: A Case Series
title_short Patients with Mild COVID-19 Symptoms and Coincident Pulmonary Embolism: A Case Series
title_sort patients with mild covid 19 symptoms and coincident pulmonary embolism a case series
url https://escholarship.org/uc/item/62j4010j
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